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OneOncology · 23 hours ago

Laboratory Authorization Specialist

United States

Full-time

Remote

New Grad, Entry Level

OneOncology is a company focused on enhancing cancer care through a patient-centric and technology-driven approach. The Laboratory Authorization Specialist ensures that reimbursement requirements for laboratory services are met, acting as a liaison between clinical, lab, and Patient Accounting staff.

Health CareOncology

Growth Opportunities

Responsibilities

Act as the liaison and primary point of contact for the Business Office, Tennessee Oncology laboratory and other cross-functional laboratory lines of business

Obtain prior authorizations for physician laboratory orders as required by the patient insurance carriers

Maintain a working knowledge of insurance requirements/policies and communicating them to all applicable parties

Communicates with physician/clinical staff on reimbursement issues and/or pre-certification requirements

Ensures up-to-date documentation on patient’s accounts in Electronic Medical Record and Patient Management System on follow up and/or ongoing laboratory authorizations

Follows policy and procedures outlined by management to ensure standardization of processes

Monitor all orders received through the external portal and follow the established workflow for identification of missing information, case creation, communication with HMS staff, monitoring of case status and communication with outside vendors/clients

Possess a working knowledge of laboratory testing including CPT and ICD10 coding, as well as billing regulations

Maintains continued authorizations of laboratory services, ensuring all treatment dates are covered for reimbursement

Resolves items related to laboratory authorization issues, in timely manner

Other duties as assigned to help drive our mission of improving the lives of everyone living with cancer

Qualification

Prior authorization experienceCPTICD10 codingCustomer service skillsComputer applications proficiencyCommunication skillsMulti-tasking abilityMedical terminologyOrganizational skillsProblem-solving ability

Required

High School diploma or equivalent required

Previous prior authorization experience required

Preferred

Knowledge of clinic office procedures, medical practice, medical terminology and laboratory services preferred

Company

OneOncology

OneOncology is a partnership of oncologists and industry leading experts driving the future of community-based cancer care in the US. It is a sub-organization of General Atlantic.

Founded in 2018